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CHEST Guidelines
Table-of-Contents_chest (21)
Table-of-Contents_chest (21)
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Pdf Summary
The July 2020 issue of CHEST (Volume 158, Number 1) encompasses a wide range of topics in pulmonary, critical care, and sleep medicine ensuring a holistic approach to these fields. The issue includes several editorials addressing the integration of humanities in chest medicine, highlighting maternal distress related to allergic diseases, and exploring targeted treatments for COPD. It also investigates airway plugging and the effectiveness of exercise training for COPD.<br /><br />The issue features original research addressing maternal distress and its long-term health impacts, risk factors for COVID-19 outcomes, CT evidence of luminal plugging in COPD with its clinical implications, metabolic resuscitation in sepsis, and outcomes in pulmonary arterial hypertension in specialized centers. Additionally, there's an emphasis on proper management and guidelines for chronic cough due to asthma, emphasizing a comprehensive approach to patient care especially during the COVID-19 pandemic.<br /><br />Special features in the journal tackle critical care trials' primary endpoints and the ethical and practical triage of scarce resources during pandemics. A notable focus is on the emerging role of home mechanical ventilation in chronic respiratory failure and the risks associated with isolated pulmonary embolism. <br /><br />The journal includes 'POINT' and 'COUNTERPOINT' discussions on whether patients with advanced lung disease should be offered extracorporeal membrane oxygenation without prior listing for lung transplants, showcasing nuanced views on contemporary clinical dilemmas. <br /><br />Research in the realm of idiopathic pulmonary fibrosis, medication adherence in sarcoidosis, and the challenges of maintaining muscle mass with enteral nutrition provide valuable insights. The issue also discusses the importance of hospital code status orders and effective communication for medication adherence. <br /><br />Moreover, the journal touches upon advanced echocardiography, the significance of autopsies in understanding COVID-19, and the interplay of respiratory rate in lung protective ventilation. Overall, the issue aims to provide a comprehensive view of current challenges and innovations in chest medicine.
Keywords
pulmonary medicine
critical care
sleep medicine
COPD treatments
maternal distress
COVID-19 outcomes
chronic cough
mechanical ventilation
lung disease
idiopathic pulmonary fibrosis
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